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Samenvatting  Van Dillen SME. Huisartsen merken behoefte aan deskundig voedingsadvies van hun patiënten vaak niet op. Huisarts Wet 2007;50(4):155-8. Patiënten verwachten dat huisartsen met hen over voeding praten. Ze vinden huisartsen de... more
Samenvatting  Van Dillen SME. Huisartsen merken behoefte aan deskundig voedingsadvies van hun patiënten vaak niet op. Huisarts Wet 2007;50(4):155-8. Patiënten verwachten dat huisartsen met hen over voeding praten. Ze vinden huisartsen de beste bron voor voedingsinformatie en geven hoog op van hun betrouwbaarheid, deskundigheid, toegankelijkheid en duidelijkheid. Huisartsen zien wel dat het belangrijk is om met patiënten over voeding te spreken,
This study examined factors that discriminate between parents who regularly inspect their children for ticks and those who do not do so. Knowledge, cognitive and emotional attitudes, social influences, and self-efficacy expectations were... more
This study examined factors that discriminate between parents who regularly inspect their children for ticks and those who do not do so. Knowledge, cognitive and emotional attitudes, social influences, and self-efficacy expectations were assessed in 230 parents living in high endemic regions. Regression analysis showed that moral norms, emotional attitude, anticipated regret, role models, and stress self-efficacy were positively associated with inspection behavior. Health education programs not only need to stimulate parental knowledge and discuss the health effects of tick bite prevention, they also need to stress the emotional benefits of tick bite prevention for children and parents and induce positive norms toward inspecting others. Furthermore, they need to stimulate openness about inspection behaviors, since the modeling examples of partners, relatives, and grandparents and the behavior of friends discriminate between inspecting and noninspecting parents. Finally, education pr...
Patients with overweight or obesity increasingly attend general practice, which is an ideal setting for weight-loss counselling. The present study is the first to investigate the quality of weight-loss counselling provided by practice... more
Patients with overweight or obesity increasingly attend general practice, which is an ideal setting for weight-loss counselling. The present study is the first to investigate the quality of weight-loss counselling provided by practice nurses in general practice to patients with overweight or obesity, in order to identify points for improvement. An observational checklist was developed to assess goal and implementation intentions and 'missed opportunities for lifestyle counselling'. Comparisons were made with overall consultation goals set by practice nurses, as measured in a post-visit questionnaire. Dutch general practice. One hundred video-taped consultations (2010/2011) between practice nurses and patients with overweight or obesity. Half of the consultations contained a goal intention, of which the majority aimed to change eating behaviour. Only part of these goal intentions could be considered implementation intentions. It appeared that actions (how elements) were not often included here. Lifestyle change was more often perceived as an overall consultation goal than weight change. Regarding patterns of overall consultation goals, the majority addressed only one lifestyle factor at a time. If practice nurses formulated weight change in their overall consultation goal, they also used goal or implementation intentions, especially for weight change. In a quarter of the consultations, practice nurses did not ask any further questions about weight, nutrition or physical activity to gain insight, which is an important 'missed opportunity for lifestyle counselling'. Matching implementation intentions to the broader overall consultation goals of practice nurses would be meaningful, leading to desired goal-directed behaviours and subsequent goal attainment.